NPIMap

Organization Active NPI

Weiss Lake Psychological Services, LLC

  • Psychologist
  • Centre, AL
National Provider Identifier
1689952244
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1687 Issued in AL
Legal business name
WEISS LAKE PSYCHOLOGICAL SERVICES, LLC
Practice address
839 W Main St.
Centre, AL 35960-1235
Phone
(256) 927-5920
Fax
(256) 927-3205
NPI assigned
Aug 1, 2011
Last updated
Aug 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Christine Jennings
Title
Owner
Phone
(256) 927-5920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1687 AL Primary

Addresses

Primary practice location

839 W Main St.
Centre, AL 35960-1235

Mailing address

839 W Main St
Centre, AL 35960-1235
Phone (256) 927-5920

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1689952244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 W MAIN ST",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359601235",
            "telephone_number": "256-927-5920",
            "fax_number": "256-927-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 W MAIN ST.",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359601235",
            "telephone_number": "256-927-5920",
            "fax_number": "256-927-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEISS LAKE PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-927-5920",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "1687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centre, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.